| NPI | 1093969495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 7469956-1205) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: UT 7469956-1205) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2022-01-05 |